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Backup Documents 09/24/2013 Item #16A 6ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA� Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to A k Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. Complete routing lines # 1 through #2 as appropriate for additional signatures, dates, and/or information needed If the document is already complete with the exception of the Chairman's signature, draw a line through routing lines # 1 throw #2 complete the checklist, and forward to the Coun Attorney Office. Route to Addressees (List in routing order) Office Initials Date 1. a ro riate. Initial Applicable) 2. 09/24/13 Agenda Item Number 16A6 3. County Attorney Office County Attorney Office KN 9/24/13 4. BCC Office Board of County Commissioners Number of Original k\-�Znk�� 5. Minutes and Records Clerk of Court's Office 3 `nK in PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above, may need to contact staff for additional or missing information. Name of Primary Staff Marlene Serrano/ Code Enforcement Phone Number 239 - 252 -2487 Contact / Department a ro riate. Initial Applicable) Agenda Date Item was 09/24/13 Agenda Item Number 16A6 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, MS Type of Document Release of Lien Lcq e -Q-Z-- Number of Original 1 Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or account signed by the Chairman, with the exception of most letters, must be reviewed and signed MS number if document is O to be recorded All handwritten strike - through and revisions have been initialed by the County Attorney's INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not a ro riate. Initial Applicable) 1. Does the document require the chairman's original signature? MS 2. Does the document need to be sent to another agency for additional signatures? If yes, MS provide the Contact Information (Name; Agency; Address; Phone on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman, with the exception of most letters, must be reviewed and signed MS by the Office of the County Attorney. 4. All handwritten strike - through and revisions have been initialed by the County Attorney's Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the MS document or the final negotiated contract date whichever is applicable. 6. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip MS should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of zour deadlines! 8. The document was approved by the BCC on 09/24/13 and all changes fib-k made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC, all changes directed by the BCC have been made, and the document is ready for e Chairman's signature. c�C I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 This Instrument Prepared By: Marlene Serrano Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252 -2487 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: Arnoldo and Daisy De La Cruz, Respondents The lien was recorded July 6, 2012 in Official Records Book 4816 Page 1532, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of Eight Thousand two hundred fifty dollars and no cents, plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida, which property is described as follows: GOLDEN GATE EST UNIT 62 E 75FT OF W 150FT OF TR 111 3770 47 Ave NE Naples, FL Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST DWIGHT E. BROCK, Clerk B + - Deputy Clerk .AttestaYto; t1'S gig" Approved as to form and legal sufficiency Kevin Noell Assistant County Attorney BOARD�O O,UNTY CPMMISSIONERS COLLI R C UNTY, F RIDA M G6wjWA`*Iiller, Esq., Chairwoman 16A6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1-�� 116 p THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney o Is than Monday preceding the Board meeting. Complete routing lines #I through #2 as appropriate for additional signatures, dates, and/or information needed If the document is already complete with the - exceDtion of die Chairman's sienature- draw a line thmuah muting lines !! I thmuoh #2 oo !ete the 011eA - ict ..A f.—.,A *n A. f'...,..*., A4* ---., r%M - Route to Addressees (List in routing order) Office Initials Date 1. Alto Initial Applicable) 2. 9/24/13 V Agenda Item Number 16 -A-6 3. County Attorney Office County Attorney Office KN 10/8/12 Type of Document CbMACTED Release of Lien - DeLaCruz Number of Original Originally Attached I I Documents Attached approved PO number or account 111 - 13011- 6491134 9/24/13 4. BCC Office Board of County `,\ to be recorded Commissioners V S KN 5. Minutes and Records Clerk of Court's Office —M 5. The Chairman's signature line date has been entered as the date of BCC approval of the KN PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above, may need to contact staff for additional or missine information. Name of Primary Staff Marlene Se o, Code Enforcement Phone Number 252 -2487 Contact / Department Alto Initial Applicable) Agenda Date Item was 9/24/13 V Agenda Item Number 16 -A-6 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, KN Type of Document CbMACTED Release of Lien - DeLaCruz Number of Original 4MW +p�� Attached I I Documents Attached PO number or account 111 - 13011- 6491134 number if document is by the Office of the County Attorney. to be recorded All handwritten strike - through and revisions have been initialed by the County Attorney's KN INSTRUCTIONS & CHECKLIST 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriate. Initial Applicable) 1. Does the document require the chairman's original signature? KN 2. Does the document need to be sent to another agency for additional signatures? If yes, KN provide the Contact Information (Name; Agency; Address; Phone on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be KN signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike - through and revisions have been initialed by the County Attorney's KN Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the KN document or the final negotiated contract date whichever is applicable. 6. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's KN signature and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip KN should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines!. 8. The document was approved by the BCC on 9/24/13 and all changes made during the KN meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the KN BCC, all changes directed by the BCC have been made, and the document is ready for a Chairman's signature. `� r 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 This Instrument Prepared By: Marlene Serrano Code Enforcement Department 2800 North Horseshoe Drive Naples, FL 34104 (239) 252 -2487 16 A6 INSTR 4902010 OR 4975 PG 293 RECORDED 10/14/2013 4:04 PM PAGES 1 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA REC $10.00 RELEASE AND SATISFACTION OF LIEN KNOW ALL MEN BY THESE PRESENTS: That the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA is the owner and holder of a certain lien against all real and personal property owned by: Arnoldo and Daisy De La Cruz, Respondents The lien was recorded July 12, 2012 in Official Records Book 4816 Page 1532, in the Official Records of Collier County, State of Florida. The lien secures the principal sum of Eight Thousand Three Hundred Thirty Dollars and No Cents, plus accrued interest and penalties, if any, and imposes certain obligations against real property situated in Collier County, Florida. Collier County, a political subdivision of the State of Florida, by execution of this Release and Satisfaction of Lien, acknowledges payment as approved by the Board of County Commissioners as satisfaction of the lien and hereby cancels said lien. The Clerk of the Circuit Court is hereby directed to record this Release and Satisfaction of Lien in the Official Records of Collier County, Florida, to acknowledge that the lien ceases to exist. ATTEST DWIGHT E. BROCK, Clerk i as 0 a"� 0 Deputy Clerk- Si qpattiO only. Approved as #o.form and legality Kevin Noell Assistant County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER,COUNTY, FLORIDA G orgi4 Aj. Hiller, Esq., Ch irw